ArticleBMJ open2020
Exploring the association of the discharge medicines review with patient hospital readmissions through national routine data linkage in Wales: a retrospective cohort study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Implementation of a medicine management plan (MMP) to reduce medication-related harm (MRH) in older people post-hospital discharge: a randomised controlled trial.BMC geriatrics · 2022Trial
- An Underused Competence: Clinical Pharmacists' Experiences of Writing Referrals in Transitions of Care.Pharmacy (Basel, Switzerland) · 2026Article
- Effects of a community pharmacy-based structured medication review on drug-related problems in all-comers with polypharmacy: a randomized, controlled, double-blind, parallel-group trial.Frontiers in medicine · 2025Article
- Article
- Patient Experiences of Community Pharmacy Medication Supply and Medicines Reconciliation at Hospital Discharge: A Pilot Qualitative Study.Pharmacy (Basel, Switzerland) · 2024Article
- Pharmacy professionals' views regarding the future of NHS patient medicines helpline services: a multimethod qualitative study.BMC health services research · 2021Article
- Using Technology-Supported Transfer of Care Systems: Informing Good Practice Recommendations.Pharmacy (Basel, Switzerland) · 2021Article
- Unlicensed "Special" Medicines: Understanding the Community Pharmacist Perspective.Integrated pharmacy research & practice · 2020Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the association of the discharge medicines review (DMR) community pharmacy service with hospital readmissions through linking National Health Service data sets.
designRetrospective cohort study.
settingAll hospitals and 703 community pharmacies across Wales.
participantsInpatients meeting the referral criteria for a community pharmacy DMR.
interventionsInformation related to the patient's medication and hospital stay is provided to the community pharmacists on discharge from hospital, who undertake a two-part service involving medicines reconciliation and a medicine use review. To investigate the association of this DMR service with hospital readmission, a data linking process was undertaken across six national databases. PRIMARY OUTCOME: Rate of hospital readmission within 90 days for patients with and without a DMR part 1 started. SECONDARY OUTCOME: Strength of association of age decile, sex, deprivation decile, diagnostic grouping and DMR type (started or not started) with reduction in readmission within 90 days.
results1923 patients were referred for a DMR over a 13-month period (February 2017-April 2018). Provision of DMR was found to be the most significant attributing factor to reducing likelihood of 90-day readmission using χ
conclusionsDMR after a hospital discharge is associated with a reduction in risk of hospital readmission within 40 days. Linking data across disparate national data records is feasible but requires a complex processual architecture. There is a significant value for integrated informatics to improve continuity and coherency of care, and also to facilitate service optimisation, evaluation and evidenced-based practice.
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